Application of sequential nursing model based on timing theory in patients with oral bile after PTCD
Objective To explore the application effect of sequential nursing model based on timing theory in the nursing of patients with oral bile after percuteneous transhepatic cholangio drainage(PTCD).Methods 157 patients who underwent ultrasound-guided PTCD in our hospital from January 2020 to July 2022 were included in the study,and were divided into observation group(80 cases)and control group(77 cases)according to the time of admission;All patients were treated with bile after surgery.The control group was treated with routine nursing intervention.The obser-vation group was treated with sequential nursing intervention on the basis of routine nursing.The time of hospitalization after surgery was compared between the two groups,and the recovery of liver and kidney function was measured before and after nursing.The patients'discharge preparation was evaluated with the discharge preparation scale(RHDS),and the quality of life was evaluated with the WHO Quality of Life Scale(WHOQOL-100),Postoperative complications were observed.Results The postoperative hospitalization time of the observation group was(12.50±2.13)d,which was shorter than that of the control group(15.14±2.09)d,and the difference was statistically significant(t=12.730,P<0.05).After the intervention,the serum ALT,AST,ALP and UA in the observation group were(90.41±6.94)U/L,(88.32±6.53)U/L,(122.05±10.24)umol/L,(154.84±19.30)umol/L,respectively,lower than those in the control group(113.16±10.85)U/L,(107.22±10.10)U/L,(171.40±11.54)umol/L,(181.24±20.44)umol/L,with statis-tical differences(P<0.05).After intervention,the WHOQOL-100 score in the observation group was higher than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was 8.75%,which was lower than 18.18%in the control group(P<0.05).The individual status of the RHDS scale for discharge prepara-tion in the observation group was(23.38±2.14)points,the adaptive ability was(44.23±7.95)points,the expected support was(38.12±3.62)points,and the total score was(106.01±3.25)points,which were higher than those in the control group(20.92±2.26)points,(9.16±7.985)points,(34.62±2.02)points,and(93.84±2.04)points,respec-tively(P<0.05).Conclusion Sequential nursing intervention for patients with oral bile after PTCD guided by ultra-sound is helpful to promote the recovery of postoperative body and liver and kidney function,improve the quality of life of patients and reduce the occurrence of complications,which has important clinical significance.
Application of sequential nursing modeUltrasound guidancePercuteneous transhepatic cholangio drainageOral bile
万方数据
维普
